Individual
MRS. JISELA REGALADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3517 N NORDICA AVE, CHICAGO, IL 60634-3637
(630) 999-0252
Mailing address
3322 ERNST ST, FRANKLIN PARK, IL 60131-1506
(630) 999-0252
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
05/10/2021
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